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NPI Code Detail

MEDICARE: ELIZABETH E OAKES RD

MEDICARE: ELIZABETH E OAKES RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDN003448PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396934592
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH E OAKES RD
Provider Business Mailing Address
First Line : 409 WOODWARD RD
Second Line :
City : MEDIA
State : PA
Zip : 19063-4226
Country : US
Telephone Number : 610-574-7940
Fax Number : 610-273-5906
Provider Business Practice Location Address
First Line : 225 S CHURCH ST
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-3386
Country : US
Telephone Number : 610-574-7940
Fax Number : 610-273-5906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2007
Last Update Date : 04/04/2025

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Directions to “ ELIZABETH E OAKES RD” Practice Location

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